Restorative Dentistry & Endodontics

Case Reports

Management of failed periodontal surgical intervention for a furcal lesion with a nonsurgical endodontic approach: Saeed Asgary, Mahta Fazlyab; Restor Dent Endod 2014;39(2):115-119. Published online March 21, 2014; DOI: https://doi.org/10.5395/rde.2014.39.2.115

Abstract PDF PubReader ePub: As long as the prognosis of teeth remains a matter of concern, the endodontic-periodontal relationship will be considered a challenge for the clinician. Many etiologic factors, including bacteria, fungi, and viruses, plus other contributing factors, such as trauma, root resorptions/perforations, and dental malformations, play a role in the co-occurrence of endodontic and periodontal lesions. Whatever the cause, a correct diagnosis on which to base the treatment plan is the key to successful maintenance of the tooth. This article reports the successful endodontic management of a furcation lesion in a mandibular molar that was nonresponsive to a previous periodontal surgical graft. The case had presented a diagnostic challenge for the clinicians, and this article reviews the key points that can lead to a correct diagnosis and treatment planning.

Treatment of a lateral incisor anatomically complicated with palatogingival groove: Moon-Sun Choi, Se-Hee Park, Kyung-Mo Cho, Jin-Woo Kim; J Korean Acad Conserv Dent 2011;36(3):238-242. Published online May 31, 2011; DOI: https://doi.org/10.5395/JKACD.2011.36.3.238

Abstract PDF PubReader ePub: Objectives
Palatogingival groove is a developmental anomaly that starts near the cingulum of the tooth and runs down the cementoenamel junction in apical direction, terminating at various depths along the roots. While frequently associated with periodontal pockets and bone loss, pulpal necrosis of these teeth may precipitate a combined endodontic-periodontal lesion. This case presents a case of a lateral incisor anatomically complicated with palatogingival groove.
Methods
Two patients with lesion associated with the palatogingival groove were chosen for this report. Palatogingival grooves were treated with different restoration materials with endodontic treatment.
Conclusions
Maxillary lateral incisor with a palatogingival groove may occur the periodontal disease with pulpal involvement. Elimination of groove may facilitate the periodontal re-attachment and prevent the recurrence.

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